MEDICARE: GEMMA P ENGLISH DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PR 324	FL
2	213ES0131X	Foot Surgery Podiatrist	POD001299	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144668666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEMMA P ENGLISH DPM

Provider Business Mailing Address
First Line	:	1515 RIVER PL STE 370
Second Line	:
City	:	BRASELTON
State	:	GA
Zip	:	30517-5605
Country	:	US
Telephone Number	:	770-648-5040
Fax Number	:	706-780-5366

Provider Business Practice Location Address
First Line	:	1515 RIVER PL STE 370
Second Line	:
City	:	BRASELTON
State	:	GA
Zip	:	30517-5605
Country	:	US
Telephone Number	:	770-648-5040
Fax Number	:	706-780-5366

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2013
Last Update Date	:	12/18/2020

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Directions to “ GEMMA P ENGLISH DPM” Practice Location

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